Key result
Disease-specific goals of anesthetic management help preserve hemodynamic and ventilatory parameters for successful labor and postpartum care in pregnant patients with non-valvular heart disease.
Understanding the pathophysiology of non-valvular heart disease and altered pregnancy physiology is key to successful anesthetic management during labor and delivery.
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May aid peripartum planning in non-valvular heart disease; leaves open need for prospective validation of specific targets.
Non-valvular heart disease is an important cause of cardiac disease in pregnancy and presents a unique challenge to the anesthesiologist during labor and delivery. A keen understanding of the underlying pathophysiology, in addition to the altered physiology of pregnancy, is the key to managing such patients. Disease-specific goals of management may help preserve the hemodynamic and ventilatory parameters within an acceptable limit and a successful conduct of labor and postpartum period.
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Debnath et al. (2010) conducted a review in Non-valvular heart disease in pregnancy. Anesthetic management was evaluated. Disease-specific goals of anesthetic management help preserve hemodynamic and ventilatory parameters for successful labor and postpartum care in pregnant patients with non-valvular heart disease.
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